Nursing 6531: Week 4 Quiz

Which of the following a potential acquired causes of thrombophilia? A. Homocysteinuria B. Protein C deficiency C. Factor V Leiden D. Antiphospholipid antibodies Question 2 Diagnostic confirmation of acute leukemia is based on: A. Bone marrow aspiration and biopsy B. Pancytopenia C. Hyperuricemia D. All of the above Question 3 A 50-year-old male presents to the office complaining of abnormal bleeding. He denies taking medications and personal or family history of bleeding. The initial laboratory testing reveals a normal CBC/differential with a prolonged PT/INR, differential diagnosis of this patient’s problem includes: A. Vitamin K deficiency B. Vitamin B12 deficiency C. Mild liver disease D. A and C E. All of the above Question 4 Which of the following is the most common complication of the myelodysplastic syndromes? A. Fatigue B. Cardiomyopathy C. Falls D. Bleeding Question 5 Reed-Sternberg B lymphocytes are associated with which of the following disorders: A. Aplastic anemia B. Hodgkin’s lymphoma C. Non Hodgkin’s lymphoma D. Myelodysplastic syndromes Question 6 Prolonged PT suggests: A. Platelet abnormality B. Abnormality in intrinsic coagulation pathway C. Abnormality in extrinsic coagulation pathway D. None of the above Question 7 A 28-year-old female presents to the office requesting testing for diagnosis of hereditary thrombophilia. Her father recently had a deep vein thrombosis and she is concerned about her risk factors. The nurse practitioner explains that: A. The patient should start anticoagulant therapy immediately. B. Hereditary thrombophilia does not always require anticoagulation therapy. C. Women of childbearing age cannot take anticoagulant therapy. D. Genetic and risk management counseling are recommended. E. B and D Question 8 Which of the following disorders are associated with primary hypertension? A. Renal artery stenosis B. Sympathetic nervous system stimulation C. Coarctation of the aorta D. Hyperaldosteronism Question 9 Clinical diagnosis of an aortic aneurysm is suspected when the aorta is: A. At least 2 cm in diameter B. At least 3 cm in diameter C. At least 4 cm in diameter D. At least 6 cm in diameter Question 10 _____ is/are recommended for men and women over the age of 65 with a history of smoking > 100 cigarettes to screen for abdominal aortic aneurysms. A. Abdominal ultrasound B. Spiral CT C. MRI and MRA D. All of the above Question 11 The National Cholesterol Education Program’s Adult Treatment Panel III recommends that the goal for low density lipoproteins in high risk patients be less than: A. 160 mg/dL B. 130 mg/dL C. 100 mg/dL D. 70 mg/dL Question 12 Causes of lipid disorders include: A. Genetic disorders B. Diet C. Sedentary lifestyle D. B and C E. All of the above Question 13 Which of the following physical exam findings suggests the presence of heart failure? A. S4 B. S3 C. Pericardial friction rub D. Pansystolic murmur Question 14 Differential diagnosis of an abdominal aortic aneurysm includes which of the following? A. Pancreatitis B. Diverticulitis C. Myocardial infarction D. C only E. A, B, and C Question 15 An 88-year-old female presents complaining of “liquid” draining from her leg. She denies pain or injury. The physical exam reveals an irregularly shaped shallow ulceration on the posterior left lower extremity above the ankle. An area of warmth and erythema surround the lesion. The nurse practitioner suspects: A. A venous stasis ulcer B. An arterial ulcer C. A neuropathic ulcer D. Ischemia ulcer Question 16 Characteristics associated with the murmur of aortic stenosis include: A. Radiation to the neck B. Radiation to the axilla C. Harsh crescendo, decrescendo murmur D. Pansystolic, blowing murmur E. A and C Question 17 A patient presents to the office with a blood pressure 142/80. This patient is classified as having: A. Normal blood pressure B. Prehypertension C. Stage 1 hypertension D. Stage 2 hypertension Question 18 During the physical examination, the nurse practitioner notes the presence of an S4 gallop. The nurse practitioner realizes that an S4 occurs: A. After the S3 B. Before the S1 C. After the S1 D. Before the S3 Question 19 Which of the following are essential components of the vascular physical exam? A. Blood pressure B. Foot exam C. Abdominal exam D. All of the above Question 20 Diastolic murmurs are best heard with: A. The bell of the stethoscope B. The diaphragm of the stethoscope C. None of the above.